Mr Julio C Gamboa, is a
Community Health Worker based in Fresno, California. Mr Julio C Gamboa is licensed to practice in * (Not Available) (license number ) and his current practice location is
153 N U St, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 445-9094.
NPI number for Mr Julio C Gamboa is 1376176016 and his current mailing address is 153 N U St, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376176016.
Healthcare Provider's Profile
| Full Name | Mr Julio C Gamboa |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 153 N U St, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376176016
- Provider Enumeration Date: 02/21/2020
- Last Update Date: 06/29/2023
Medical Identifiers
Medical identifiers for Mr Julio C Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376176016 | NPI | - | NPPES |
| 5594459083 | Other | CA | CONTACT |
| 5594459094 | Other | CA | CONTACT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Julio C Gamboa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Julio C Gamboa,
153 N U St,
Fresno, CA 93701-2438
Ph: () - | Mr Julio C Gamboa,
153 N U St,
Fresno, CA 93701-2438
Ph: (559) 445-9094 |
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